뇌신경질환 환자의 반코마이신 내성 장구균 집락 해제에 보중익기탕가미가 미치는 영향 : 증례 보고
Effect of Bojungikki-tang-gami (Bu Zhong Yi Qi Tang) on the Clearance of Vancomycin-resistant Enterococci Colonization in Patients with Cerebral Nerve Disease: A Case Series
0
조회
0
다운로드
2
인용
0
참고문헌
키워드
초록
Objective: Modern medicine offers no efficient way to clear colonization by vancomycin-resistant enterococci (VRE). However, VRE decolonization needs to be cleared as soon as possible to prevent VRE transmission. This study reports six cases in which the duration of vancomycin resistant enterococcus (VRE) colonization was reduced by Bojungikki-tang-gami. Methods: Six inpatients with VRE colonization were administered Bojungikki-tang-gami and continuously followed up with cultures. After three negative stool cultures, the patients were declared cleared of VRE colonization. We recorded the duration of VRE colonization. Results: The duration of VRE colonization in the six patients was a mean of 58 days and a median of 45 days. This was shorter than the duration reported in most previous studies. No side effects were noted. Conclusions: The findings of this study suggest that Bojungikki-tang-gami might be effective in shortening the duration of VRE colonization.
Abstract
Objective: Modern medicine offers no efficient way to clear colonization by vancomycin-resistant enterococci (VRE). However, VRE decolonization needs to be cleared as soon as possible to prevent VRE transmission. This study reports six cases in which the duration of vancomycin resistant enterococcus (VRE) colonization was reduced by Bojungikki-tang-gami. Methods: Six inpatients with VRE colonization were administered Bojungikki-tang-gami and continuously followed up with cultures. After three negative stool cultures, the patients were declared cleared of VRE colonization. We recorded the duration of VRE colonization. Results: The duration of VRE colonization in the six patients was a mean of 58 days and a median of 45 days. This was shorter than the duration reported in most previous studies. No side effects were noted. Conclusions: The findings of this study suggest that Bojungikki-tang-gami might be effective in shortening the duration of VRE colonization.
참고문헌 (12)
- 윤성원, "일개 대학병원에서 Vancomycin-Resistant Enterococci (VRE) 감염관리 효과에 관한 연구", Infection and Chemotherapy, 34(2), pp.81~88 (2002), 대한감염학회
- 이제선, "반코마이신 저항 장구균의 자발적 집락 소실 기간에 대한 영향 인자", Pediatric Infection and Vaccine, 22(1), pp.16~22 (2015), 대한소아감염학회
- 윤승규, "Vancomycin 내성 장구균 집락 해제에 대한 보중익기탕의 효과", 대한한방내과학회지, 31(4), pp.908~913 (2010), 대한한방내과학회
- 한수하, "중환자실 VRE 균집락과 획득발생 위험요인", 기본간호학회지, 15(4), pp.522~530 (2008), 기본간호학회
- 이동숙, "반코마이신 내성 장구균 장기집락 및 재획득의 위험요인 분석", 의료관련감염관리, 20(1), pp.019~028 (2015), 대한의료관련감염관리학회
- Shenoy ES, "Natural history of colonization with methicillin-resistant Staphylococcus aureus(MRSA)and vancomycin-resistant Enterococcus(VRE) : a systematic review", BMC infectious diseases, 14(1), pp.177~ (2014)
- Sohn KM, "Duration of colonization and risk factors for prolonged carriage of vancomycin-resistant enterococci after discharge from the hospital", International Journal of Infectious Diseases, 17(4), pp.e240~e246 (2013)
- Byers KE, "Duration of colonization with vancomycin-resistant Enterococcus", Infect Control Hosp Epidemiol, 23(4), pp.207~211 (2002)
- Kim JK, "Clinical Characteristics in Patients with Vancomycin-Resistant Enterococci Colonization or Infection during 5 years in a Private General Hospital", Korean Journal of Critical Care Medicine, 20(1), pp.54~62 (2005)
- Yoon YK, "Risk factors for prolonged carriage of vancomycin-resistant Enterococcus faecium among patients in intensive care units : a case-control study", J Antimicrob Chemother, 66(8), pp.1831~1838 (2011)
- Lee IH, "Two Case Reports of Bedridden Patients with VRE colonization treated with Bojungiki-tang", The Journal of Internal Korean Medicine, (fal), pp.344~348 (2014)
- Fukumura N, "Hochuekkito Reduced the Incidence of Inflammatory Complications in Patients with Sequelae of Cerebrovascular Disease in Convalescent Rehabilitation Wards : A Randomized Multicenter Study", The Japanese Journal of Rehabilitation Medicine, 54(4), pp.303~314 (2017)